Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.51 / $5,045.00 / $6,915.00	Facility		$1,020.51	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.33 / $699.36 / $1,558.73	Professional		$614.33	$699.36	$1,558.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.94 / $931.46 / $1,677.23	Professional		$662.94	$931.46	$1,677.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,242.77 / $1,328.24 / $2,039.78	Facility		$1,242.77	$1,328.24	$2,039.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.39 / $830.39 / $830.39	Facility		$830.39	$830.39	$830.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.22 / $1,068.30 / $1,725.27	Professional		$733.22	$1,068.30	$1,725.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $651.01 / $846.31 / $1,262.31	Professional		$651.01	$846.31	$1,262.31
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.45 / $923.96 / $1,594.05	Professional		$688.45	$923.96	$1,594.05